Transcript Healthcare Unbound July 2011

Healthcare Unbound
San Diego, CA
Medication
Adherence
Technologies
July 12, 2011
Stephen L. Axelrod, M.D.
www.tabsafe.com
The Growing Problem
MEDICATION NONADHERENCE
• 51% of all prescription medication in
the U.S. is taken incorrectly causing:
• 125,000 deaths per year
• 1,000,000 hospitalizations
• Among the elderly, nonadherence
accounts for 30-40% of all hospital
admissions
Medication Nonadherence
RESULTS IN:
• 1/3 to 2/3 of all medication-related hospitalizations
• 23% of all nursing home admissions
• An estimated 188.3 MM medical visits wasted
because patients do not follow advice received
• Unnecessary medication changes and
unexplained treatment failures
•Increased use of expensive,
specialized medical resources
How costly is it?
•Estimated
direct costs
+
•Indirect costs
annually1
=
$177 Billion
1. National Council on Patient Information and Education. Enhancing Prescription
Medication Adherence: A National Action Plan. August 2007.
•Estimated
direct costs
+
•Indirect costs
annually2
=
$290 Billion
2. CVS Caremark, Harvard University, and Brigham & Women’s Hospital. August 2010
•Estimated
direct costs
+
•Indirect costs
annually3
3. Express Scripts, Reported in USA Today May 27, 2011
= $258 Billion
What is TabSafe?
─ Personal medication management system that
securely stores medications to be dispensed on a
specific time schedule
– Medications can be filled by pharmacies, by users,
their family members, or home care companies
– Sends visual and auditory reminders for medication
adherence with verification of completion
– 3 follow-up calls to prevent nonadherence
– Reminders for activities of daily living and for
medications not stored in TabSafe
TabSafe is Unique
– Manages “As Needed” meds and prevents over-usage
– Maintains each medication’s inventory, automatically alerts for
reorder, digitally downloads each transaction for reports and
analysis. When released, What med, quantity, Who released
– Web accessible reports allow for the management of
medications from any web browser
– Allows for interactive medication dose changes or
discontinuance when prescription changes
– Collects, records, and correlates vital sign and biometric data
to medication adherence data
Web-Accessible Reports
• Medication Report
• Release Report
• Inventory Report
•
Reducing Readmissions
Care Transitions Interventions (CTI©)
•
•
•
•
Medication adherence (25-30%)
Medication reconciliation (15%)
Access to hospital records
Physician appointment scheduled within 7
days of discharge
• Patient emergency plan
• Transition coaching
Integrated Technologies
“Developed more recently, integrated
medication adherence technologies integrate
pill dispenser and reminder systems with
general health monitoring or health
information storage.”
Results: Improved mean medication adherence
rates of over 92% compared to a 40% baseline
medication adherence rate.
Technologies for Optimizing Medication Use in Older Adults, Center for
Technology and Aging, Sacramento, CA, October 2009.
TabSafe Improves Adherence
Released
Taken
Missed
%Adherence
Assisted Living*
4802
3414
1388
71.10%
AL with TabSafe
312358
310286
2072
99.34%
Medication Errors (Missed Med Time) in Assisted Living
*Young H, Carley MM, AHCA/NCAL/MECF 58th Annual Convention and Exposition. White
Paper: Medication Management in Assisted Living, October 7-10, 2007
Released
Taken
Missed
Independent
Indy with TabSafe
%Adherence
40.00%
159325
153730
5595
96.49%
•Independently Living Individuals Using TabSafe vs. Nat’l Average
•Actual YE 2011 Results across 5 Different Distributors